Tonkin Michael A, Oberg Kerby C
† Department of Hand Surgery & Peripheral Nerve Surgery, Royal North Shore Hospital, The Children's Hospital at Westmead, University of Sydney, Sydney, Australia.
* Divisions of Human Anatomy and Pediatric Pathology, Loma Linda University & Children's Hospital, California, USA.
Hand Surg. 2015 Oct;20(3):336-42. doi: 10.1142/S0218810415400055.
The Oberg, Manske and Tonkin (OMT) Classification of congenital anomalies of the hand and upper limb uses dysmorphological terminology, placing conditions in one of three groups: Malformations, Deformations and Dysplasias. The main group, Malformations, is further subdivided according to whether the whole of the limb is affected or the hand plate alone, and whether the primary insult involves one of the three axes of limb development and patterning or is non-axial. The common surgical diagnoses, such as thumb duplication and thumb hypoplasia, are then placed within this framework. Recently the International Federation of Societies for Surgery of the Hand Scientific Committee for Congenital Conditions approved the OMT Classification as a timely and appropriate replacement of the previously accepted Swanson Classification. This review charts the development of and modifications to the OMT Classification and its current status.
奥伯格、曼斯克和汤金（OMT）手部及上肢先天性畸形分类采用畸形学术语，将病症分为三组之一：畸形、变形和发育异常。主要组“畸形”，根据整个肢体是否受累或仅手部受累，以及原发性损伤是否涉及肢体发育和构型的三个轴之一或非轴性，进一步细分。常见的外科诊断，如多指畸形和拇指发育不全，然后被纳入这个框架。最近，国际手外科学会联合会先天性疾病科学委员会批准了OMT分类，作为对先前被接受的斯旺森分类的及时且合适的替代。本综述阐述了OMT分类的发展、修改及其当前状况。
